First Author: E.Cetin TURKEY
Co Author(s): O. Parca S. Kasikci G. Pekel
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To present a case with choroiditis in a patient with Crohn’s Disease
Tertiary referral hospital
A 27-year-old male presented with impaired vision in his right eye. Medical history revealed Crohn’s Disease for several years. Best corrected visual acuity (BCVA) was counting fingers OD and 1.0 OS. Anterior segment findings were unremarkable. Intraocular pressures were 15mmHg OD and 14mmHg OS. Posterior segment findings were creamy-white lesions at the macula and upper temporal arcade OD and unremarkable OS. Fundus fluorescein angiography showed early hypofluorescence and late hyperfluorescence of the lesions. Optical coherence tomography showed disintegrity of the photoreceptors segments and drusen-like deposits between retinal pigment epithelium and Bruch membrane. The patient was diagnosed as choroiditis and systemic steroid treatment (methyl prednisolone 1mg/kg/day) was started. BCVA was 0.1 OD at 6th day. Three weeks later, BCVA was 0.2 and choroiditis findings faded; however subretinal fluid consistent with central serous retinopathy occurred. Systemic steroid was tapered and azathioprine was started. At 2-month, BCVA was 0.4 with macular pigment alterations OD.
Despite anterior uveitis is the major ocular finding in patients with inflammatory bowel disease, choroiditis may occur as a rare manifestation.